Divine, Tambra K

Divine, Tambra K is an individual health care provider with primary practice located at 3024 Willow Pass Rd , Concord CA 94519-2588. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Divine, Tambra K can be contacted via phone (925) 363-5000.

Contact Information

Primary practice address
3024 Willow Pass Rd Concord CA 94519-2588
Phone: (925) 363-5000
Fax: (925) 363-5075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1568613545
LBN Legal business name Divine, Tambra K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Jun 5th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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